Clinical evaluation of septoplasty with and without additional nasal procedures
DOI:
https://doi.org/10.18203/2349-2902.isj20251531Keywords:
Nasal obstruction, Nasal surgery, Postoperative complications, Septoplasty, Submucous diathermy, TurbinectomyAbstract
Background: Septoplasty is a common surgical procedure for correcting deviated nasal septum. Additional nasal procedures such as submucous diathermy (SMD) or turbinectomy are often performed to enhance surgical outcomes. This study aimed to compare the surgical outcomes and postoperative complications between septoplasty with SMD and septoplasty combined with other nasal procedures.
Methods: This prospective comparative study was conducted at the Department of Otolaryngology–Head and Neck Surgery, Anwer Khan Modern Medical College Hospital, Dhaka, Bangladesh, from June 2024 to May 2025. A total of 98 patients undergoing septoplasty were enrolled and divided into two groups: 64 patients underwent septoplasty with SMD and 34 underwent septoplasty with other procedures. Data on surgical duration, intraoperative hemorrhage, postoperative complications and recovery status were collected and analysed using SPSS version 25.
Results: Shorter operation time (20-40 minutes) was observed in 75% of patients in the SMD group compared to 29.4% in the other procedures group. Intraoperative haemorrhage occurred in 93.75% and 88.2% of the SMD and other groups, respectively. On the first postoperative day, sneezing (47.05%) and cough (29.4%) were more frequent in the other procedures group. On the seventh day, nasal discharge was significantly higher in the same group (47.05% vs. 15.6%). However, both groups showed 100% full recovery.
Conclusions: Septoplasty with SMD is associated with shorter operation time and fewer early postoperative symptoms, while septoplasty with additional procedures may provide better symptom control despite higher immediate postoperative discomfort. Tailored surgical planning remains key to optimizing patient outcomes.
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References
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